Ilial anterior rotation hypermobility in a female collegiate tennis player.
OBJECTIVE
This case report describes the examination, evaluation, and intervention by a physical therapist for a female collegiate tennis player with a right ilial anterior rotation hypermobility.


METHODS
The patient was a 21-year-old, female collegiate tennis player who developed a right anterior ilial rotation hypermobility as a result of her tennis stroke. Functional limitations were related to sitting, squatting, gait, and playing tennis. Treatment interventions consisted of massage, joint manipulation, stretching, stabilization exercises, sport-specific exercises and modification of tennis stroke, proprioceptive taping, and the use of a sacroiliac belt.


RESULTS
After 26 weeks (33 treatments), tissue tenderness of the sacroiliac joint region was normalized, pelvic/trunk and lower-extremity mobility and flexibility were restored, sacroiliac symmetry and stability were regained, and the patient achieved her goal of returning to competitive tennis at the collegiate level.


CONCLUSIONS
The patient's right ilial anterior rotation hypermobility was directly related to the mechanics of her tennis stroke. Her outcomes suggest that rehabilitation should focus on the entire abdomino-sacro-pelvic-hip complex, addressing articular, neural, and muscular inhibitions and deficiencies.
Vaughn
H Todd
HT
Physical Therapist Assistant Program, Southern Illinois University at Carbondale, 374 E Grand Ave, Mail Code 6740, Carbondale, IL 62901, USA. tvaughn@siu.edu
Nitsch
Wanda
W
D000328:Adult; D017679:Cryotherapy; D005260:Female; D025981:Hip Injuries / Q000150:complications / Q000175:diagnosis / Q000534:rehabilitation*; D006621:Hip Joint / Q000503:physiopathology*; D006801:Humans; D007085:Ilium; D007593:Joint Instability / Q000150:complications / Q000175:diagnosis / Q000534:rehabilitation*; D017116:Low Back Pain / Q000209:etiology / Q000534:rehabilitation*; D018482:Muscle, Skeletal / Q000473:pathology; D026741:Physical Therapy Modalities; D011187:Posture; D011379:Prognosis; D016059:Range of Motion, Articular; D013715:Tennis / Q000293:injuries*; D004561:Transcutaneous Electric Nerve Stimulation